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深圳地区胡蜂蜇伤临床特征与中医证型分布

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目的 调查深圳地区的胡蜂蜇伤者的临床资料,分析其临床特点与中医证型分布规律,为中西医结合治疗蜂蜇伤提供临床参考.方法 回顾性分析2021年1月至2023年12月在广东省深圳市中医院急诊科就诊的胡蜂蜇伤患者的临床资料,总结其临床特点及中医证型分布规律.结果 1)1 109例急诊蜂蜇伤患者中女性(51.58%)稍多于男性.不同性别在各年龄段蜂蜇伤发生率不均匀,男性患者多发生在儿童期及青年期,女性患者则在各年龄段分布较为均衡.2)83.41%急诊蜂蜇伤患者受伤部位为四肢及头面部,蜇伤处局部肿胀(904例)、疼痛(867例)、皮肤发红(544例)是最常见的症状.3)急诊蜂蜇伤患者中医证型由高到低分别为火毒证(65.64%)、风火毒证(17.94%)、风毒证(6.49%)、瘀毒证(9.11%)、无症状者(0.81%).4)21例住院蜂蜇伤患者的中医证型分布情况为风火毒证(80.95%)、火毒证(14.29%)、风毒证(4.76%)、瘀毒证(0%).结论 深圳地区的蜂蜇伤急诊患者中医证型主要以火毒证为主,临床症状多表现为红肿、疼痛,住院患者则以风火毒证为主,多表现为红肿、疼痛及头晕.中医证型分布与年龄、性别具有相关性,且不同中医证型的年龄、性别分布规律不同.
Clinical Characteristics and Distribution of Traditional Chinese Medicine Syndrome Types of Hornet Sting in Shenzhen Area
Objective:To investigate the clinical data of hornet sting victims in the Shenzhen area,analyze their clinical characteristics and distribution of TCM syndrome types,providing clinical reference for the integrated treat-ment of hornet stings in TCM and western medicine.Methods:Retrospective analysis was conducted on the clini-cal data of patients with hornet stings who visited the Emergency Department of Shenzhen Hospital of Traditional Chinese Medicine in Guangdong Province from 2021 to 2023,summarizing their clinical characteristics and distri-bution of TCM syndrome types.Results:1)Among 1 109 emergency cases of hornet stings,females(51.58%)slightly outnumbered males.The incidence rates of stings in different genders varied across age groups,with male patients predominantly affected during childhood and adolescence,while female patients were more evenly distrib-uted across all age groups.2)83.41%of the emergency cases of hornet stings occurred in the limbs,head,and face,with local swelling(904 cases),pain(867 cases),and skin redness(544 cases)being the most common symp-toms.3)The distribution of TCM syndrome types among emergency cases of hornet stings,from highest to lowest,were Fire-Toxin syndrome(65.64%),Wind-Fire-Toxin syndrome(17.94%),Wind-Toxin syndrome(6.49%),Stag-nation-Toxin syndrome(9.11%),and asymptomatic cases(0.81%).4)Among 21 hospitalized cases of hornet stings,the distribution of TCM syndrome types was Wind-Fire-Toxin syndrome(80.95%),Fire-Toxin syndrome(14.29%),Wind-Toxin syndrome(4.76%),and no cases of Stagnation-Toxin syndrome.Conclusion:The main TCM syndrome among emergency patients with hornet stings in the Shenzhen area is Fire-Toxin syndrome,with clinical symptoms mainly manifested as redness,swelling,and pain.Hospitalized patients primarily present with Wind-Fire-Toxin syndrome,commonly showing symptoms of redness,swelling,pain,and dizziness.The distribu-tion of TCM syndrome types is correlated with age and gender,and different TCM syndromes exhibit distinct distri-bution patterns regarding age and gender.

Hornet stingTCM syndrome typesClinical characteristicsShenzhen area

廖宪勇、高建华、曾仲意、曾林生、莫之准

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广州中医药大学第四临床医学院,广东省深圳市中医院,广东深圳 518033

蜂蜇伤 中医证型 临床特点 深圳地区

深圳市中医重点专科建设项目深圳市科创委基础研究面上项目

深卫健中医[2019]22号JCYJ20220531092009021

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(8)